KEISHA ARNOLD
NPI 1073021234
Counselor - Professional in Suffolk, VA

Active since January 22, 2018PECOS Enrolled
1530 BREEZEPORT WAY STE 100, SUFFOLK, VA 23435(757) 394-1135(757) 282-7771 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, Mar 2, 2020 (2 updates tracked since 2020).

About Keisha Arnold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA ARNOLD (NPI 1073021234) is an individual professional provider in Suffolk, Virginia, licensed in Virginia (0701007389) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Suffolk, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073021234
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKEISHA ARNOLD
Location Address1530 BREEZEPORT WAY STE 100Suffolk, VA 23435-3753
Mailing Address3013 Tournament DrChesapeake, VA 23323-2732 · (757) 692-3013
Fax(757) 282-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2018
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
NPI 1073021234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701007389
1530 BREEZEPORT WAY STE 100, Suffolk, VA 23435

Secondary Practice Location 1

Location 13897 Bridge RdSuffolk, VA 23435-1911 · Phone (757) 394-1961

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keisha Arnold is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355747973
PECOS Enrollment IDI20240120000412
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1530 BREEZEPORT WAY STE 100
SUFFOLK, VA 23435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Arnold's NPI number?

The NPI number for Keisha Arnold is 1073021234. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Keisha Arnold located?

Keisha Arnold practices at 1530 Breezeport Way Ste 100, Suffolk, VA 23435. The listed phone number is (757) 394-1135.

What is Keisha Arnold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keisha Arnold enrolled in Medicare?

Yes. Keisha Arnold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keisha Arnold was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.